Study On Influenza Pandemic Prevention And Control Strategy About Medical Health Institutions At The County Level

Objectives:Based on the conclusion and analysis of the public health emergency response management systems in developed countries, the study is investigating and assessing the capability of human avian influenza / influenza pandemic emergency response in medical and health institutions at the county level. Also, the study wants to find out the characteristics as well as the key problems about how the medical and health institutions response to the influenza pandemic at the county level. On this basis, on the one hand, we want to provide some scientific suggestions and policy recommendations about improving the influenza pandemic emergency management system in medical and health institutions at the county. On the other hand, we want to improve the ability of coping with the influenza pandemic, protect the safety of the people, and guarantee the development of the social and the economy.Methods:Basing on literature and information collecting and analyzing, field research is made, and Chi-square analysis, descriptive analysis are applied. To evaluate the monitoring and warning system of the Medical and Health Institutions, service level of clinical treatment, preparation ability of funds and goods, reserves of human resources and cooperation ability of concerning apartments. Results:1. The Inspiration from public health emergency management system of USA(1) The United States Public Health Emergency Management System features. (2) county level Public Health Emergency Management System features of The United States. (3) The Inspiration from public health emergency management system of USA.2. The influenza pandemic contingency mechanism in county-level medical institutions of Anhui Province has been initional established.(1) emergency response mechanism: 93.86% of county level health administrative departments, 72.13 percent for county level Disease Control and Prevention Center, 26.23 percent of the county government have developed related pandemic influenza contingency plans; contingency plans development to health care institutions are relatively low. Bird flu contingency plans drawed up by health administrative departments accounted for the highest proportion, amounting to 98.36%. (2) Emergency organizations: All investigated counties have set up emergency public emergency leading group, 52.80% of the county Public Health Emergency Command Center of Health Bureau was set up. 22.95% of the county government influenza pandemic leading group was set up; 50.82%County Health Department influenza pandemic leading group was set up.3. Influenza pandemic prevention and control of team size and skill level to be further enhanced(1) Size: In Anhui Province, the county level health technicians per thousand population is 1.76 persons, which is lower than the central region level (2.15 persons) and national level (2.14 persons); health emergency personnel is insufficient, the majority of those surveyed county can only send 2 outbreak management team at the same time; when the available human resources can not meet demand, 91.67% county level CDC would recalled all the rest staff to work, 90.16 %s would upport the request to report to higher authorities.(2) Education: Most of the emergency personnel are low academic, emergency managers and emergency personnel are in post-secondary technical education level and below, accounting for about 60% -88%, which is lower than the national level in 2005; the level of health education of emergency in different economic development level areas was no significant difference, difference between municipal and county level has statistical significance. (3) Staffing: 62.30 % of the county have built public health emergencies experts treasury / group, the level between the county and the county there were no significant differences in different economic development level; however, the configuration of public health staff number between the County and the county are large.4. Pandemic influenza surveillance, early warning and on-site treatment of weak.(1) Site disposal capacity: at the county level of Anhui Province, only 22.95 % of the CDC to engage in rapid diagnosis of influenza detection kit, 49.18% of the CDC has the ability of collected the nose throat swab specimens;monitoring, early warning, on-site disposal capacity are relative lower; chi-square analysis showed that whether or not established contingency plans, whether or not set up the leading group, regional economic development level are not the key factors which affect site isposal capacity. (2) Epidemic report: 95.1 % county-level CDC adopt the Health Ministry early warning indicators to monitor and report. (3) Capacity of medical treatment: County People's Hospital discharged from hospital on average, the actual number of open beds, bed occupancy rate and turnover number of beds at the county level are higher than the national average level of the hospital, but emergency treatment of influenza-related equipment and the number of beds is still far from response to meet the needs of an influenza pandemic. Different division of responsibilities and the skill level of staff is the key factors which impact the epidemic monitoring, early warning and on-site treatment.5. Risk communication capacity-building needs to be strengthen(1) publicity and education: the way of public education of flu prevention and control in Anhui Province county is mainly for publicity materials, publicity form is not diversity.(2) Emergency contact: 91.80% of the county CDC set up a special public health emergency contacts, 57.38% have Master the contact of emergency experts group members. (3) Information: Only 8.20% county CDC has spokesman.6. Emergency security system needs to be improvedOnly 24.59% of the county government are committed to providing preparation for an influenza pandemic funds, 96.72 % county allocate field investigation equipment, but more than 90% county CDC respondents believe that the present sterilization equipment, the types and quantities of drugs can not meet the jurisdiction to deal with the needs of public health emergencies. Whether set up a Government Group is the key factor which impact the fund support.7. Training and exercises for further implementation of the work Only 42.62% county administrative department or CDC had organized the avian flu, pandemic influenza prevention, most of the exercises within the health sector, only 5 counties had department- department training.Suggestions:(1) Drawing up the specific emergency preparedness plans about influenza pandemic and conducting routine emergency drills.(2) Establishing the accountability system, ensuring the emergency preparedness plans.(3) Setting up a leading group structure of the health system scientifically, sounding the emergency network.(4) Strengthening the role of government according to the characteristics of county-level.(5) Constructing the leading group of the government response to the influenza pandemic, promoting multi-departments'communication and collaboration.(6) Adjusting the staffing structure reasonable, and optimizing the human resources.(7) Enhancing the sense of crisis, protecting the financial and material reserves.(8) Enriching the forms of advocacy training, and doing a good job in risk communication actively.